New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-W - Former Division of Human Services
Chapter He-W 500 - MEDICAL ASSISTANCE
Part He-W 520 - GENERAL PROGRAM INFORMATION
Section He-W 520.02 - Program Administration
Universal Citation: NH Admin Rules He-W 520.02
Current through Register No. 40, October 3, 2024
(a) The department shall:
(1) Administer and maintain the federal
medicaid State Plan, pursuant to
42 CFR
430.10 and
RSA
161:2, VI;
(2) Provide the mandatory medicaid services
pursuant to 42 CFR
440.210 and
42 CFR
440.220;
(3) Provide the medicaid optional services
which are specified in the medicaid State Plan;
(4) Describe the provider and recipient
requirements for the medicaid services found in He-W 530 through He-W 577, and
pursuant to RSA
161:4-a, X; and
(5) Authorize and train qualified entities to
determine presumptive eligibility.
(b) The provider shall:
(1) Be a NH enrolled medicaid provider;
and
(2) Request and obtain prior
authorization from the department before providing any medicaid covered
services requiring prior authorization.
(c) The recipient of covered services shall be an eligible medicaid recipient at the time the service is rendered.
(See Revision Note at chapter heading He-W 500); ss by #6574, eff 9-12-97; ss by #6745, eff 5-1-98, EXPIRED: 12-31-98; ss by #6925, eff 1-1-99; ss by #8781, eff 1-1-07
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